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— 

wo 97/03709 



PCT/EP96/03033 



[WPO/OMPI LOGO] 



PCX WORLD INTELLECTUAL PROPERTY ORGANIZATION 

International Bureau 

INTERNATIONAL APPLICATION PUBLICHED UNDER THE PATENT COOPERATION TREATY (PCT) 



(5 1 ) International Patent Classification^* 

A61L 15/44, A61K 31/565, C07J 1/100 Al 



(2/6/97) 



(1 1) International Publication No. WO 97/03709 
(43) International Publication Date: February 6, 1997 



(21) International Application No.: PCT/EP96/03033 



(22) International Application Date: July 6, 1996 (7/6/96) 

(30) Priority Data: 

195 26 789.3 July 17, 1995 (7/17/95) DE 

196 13 698.9 April 1, 1996 (4/1/96) DE 



(81) Designated Countries: AU, BR, CA, CN, CZ, FI, 
HU, IL, JI, KR, MX, NO, NZ, PL, RU, SK, UA, US, 
VN, European patents (AT, BE, CH, DE, DK, ES, FI, 
FR, GB, GR, IE, IT, LU, MC, NL, PT, SE). 



Published 

with international research report. 



(71) Applicant (for all designated countries except US): 

SCHERING AKTIENGESELLSCHAFT (DE/DE); 
D- 13342 Berlin (DE). 

(72) Inventor; and 

(75) Inventor/Applicant: (only for US): LIPP, Ralph [DE/DE]; 

Lenaer Strasse 8, D-10717 Berlin (DE). EWERS, Christian 
[DE/DE]; Rheinsteinstrasse 68, D-10318 Berlin (DE). 
GUNTHER, Clemens [DE/DE]; Gottschedstrasse 26, D-13357 
Berlin (DE). RIEDEL, Jutta [DE/DE]; Flesburger Strasse 14, 
D-10557 Berlin (DE). TAUBER, Uhich [DE/DE]; Ostender 
Strasse 3, D-13353 Berlin (DE). 



(54) Title: TRANSDERMAL APPLICATION AGENT CONTAINING ESTERS OF 3-KETODESOGESTREL 
(57) Abstract 

An agent for transdermal application characterized in that it contains esters of 
13 -ethyl- 17B-hydroxy-l l-methylene-18,19-dinor-17?-pregn-4-ene-20yne-3-one with 1 to 20,carbon atoms in the 
ester group, optionally in combination with 1 or 2 estrogens. 



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WO 97/03709 



PCT/EP96/03033 



FOR INFORMATION ONLY 



Codes for the identification of PCT-Treaty Countries on the front page of the pubhcation that international applicants publish 
according to the PCT 



AM 


Armenian 


GB 


United Kingdom 


MX 


Mexico 


AT 


Austria 


GE 


Georgia 


NE 


Niger 


AU 


Australia 


GN 


Guinea 


NL 


Netherlands 


BB 


Barbados 


GR 


Greek 


NO 


Norwegian 


BE 


Belgium 


HU 


Hungary 


NZ 


New Zealand 


BF 


Burkina Faso 


IE 


Ireland 


PL 


Poland 


BG 


Bulgaria 


IT 


Italy 


PT 


Portugal 


BJ 


Benin 


JP 


Japan 


RO 


Romanian 


BR 


Brazil 


KE 


Kenya 


RU 


Russian Federation 


BY 


Belarus 


KG 


Kirghizstan 


SD 


Sudan 


CA 


Canada 


FCP 


Democratic People's Republic of Korea 


SE 


Sweden 


CF 


Central African Republic 


ICR 


Korean Republic 


SG 


Singapore 


CG 


Congo 


KZ 


Kazachstan 


SI 


Slovinia 


CH 


Switzerland 


LI 


Lichtenstein 


SK 


Slovakia 


CI 


Ivory Coast 


LK 


Sri Lanka 


SN 


Senegal 


CM 


Cameroon 


LB 


Liberia 


sz 


Swasiland 


CN 


China 


UC 


Lithuania 


TD 


Chad 


CS 


Czechoslovakia 


LU 


Luxemburg 


TG 


Togo 


CZ 


Czech Republic 


LV 


Lapland 


TJ 


Tadschikistan 


DE 


Germany 


MC 


Monaco 


TT 


Trinidad and Tobago 


DK 


Denmark 


MD 


Moldavian Republic 


UA 


Ukraine 


EE 


Iceland 


MG 


Madagascar 


UG 


Uganda 


ES 


Spain 


ML 


MaU 


us 


United States of America 


FI 


Finland 


MN 


Mongolia 


uz 


Uzbekistan 


FR 


France 


MR 


Mauritania 


VN 


Vietnam 


GA 


Gabon 


MW 


Malawi 







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AGENT FOR TRANSDERMAL APPLICATION CONTAINING ESTERS OF 3-KETODESOGESTREL 

The invention concerns an agent for transdermal applications, which is characterized in that it 
contains esters of 

13-ethyl-17?-hydroxy-ll-methylene-18,19-dinor-17?-pregn-4-ene-20-yne-3-one with 1 to 20 
carbon atoms in the ester group, optionally in combination with one or more estrogen(s). 

These esters of 13-ethyl-17?-hydroxy-l 1 -methylene- 1 8, 19-dinor-17?-pregn-4-ene-20-yne-3 -one 
are characterized by the generic formula 



O 




in which R is an acyl group with 1 to 20 carbon atoms. 

In particular, the invention concerns such transdermal application agents containing esters of 
13-ethyl-17?-hydroxy-l l-methylene-18,19-dinor-17?-pregn-4-ene-20-yne-3-one with 2 to 12 
carbon atoms in the acyl group and especially agents containing alkanoyl esters of 
13-ethyl-17?-hydroxy-l l-methylene-18,19-dinor-17?-pregn-4-ene-20-yne-3-one with 2 to 8 
carbon atoms in the alkanoyl group. As, heretofore unknown, suitable esters of 
1 3 -ethyl- 1 7?-hydroxy- 1 1 -methylene- 18,1 9-dinor-17?-pregn-4-ene-20-yne-3 -one being stressed 
in particular are their acetates, their butyrates and preferably their hexanoates, which are likewise 
the subject of the present invention and the production of which is described later. 

13-EthyM7?-hydroxy-l l-methylene-18,19-dinor-17?-pregn-4-ene-20-yne-3-one itself is a 
known substance with extraordinarily high gestagenic activity which in the form of its Pro-drug 
13-ethyl-ll-methylene-18,19-dinor-17?-pregn-4-ene-17?-ol (J. Of Steroid Biochem., 14, 1981, 
175 pp and Europ. J. Clin. Pharmakol., 15, 1979, 449 pp) in combination with estrogen effective 



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compounds are used for producing oral application agents with conception prevention action 
(Marvelon®). 

It is now found surprisingly that the esters of 

13-ethyl-17?-hydroxy-l l-methylene-18,19-dinor-17?-pregn-4-ene-20-yne-3-one, optionally in 
combination with 1 or more estrogens can be used for producing a transdermal application agent 
of active material, in some cases often better, than combination preparations, which themselves 
contain esters of 

1 3-ethyl-l 7?-hydroxy-l 1 -methylene- 18,1 9-dinor-l 7?-pregn-4-ene-20-yne-3-one. 
By esterification of the 1 7p-position hydroxyl group of the esters of 

13 -ethyl- 17?-hydroxy-l l-methylene-18,19-dinor-17?-pregn-4-ene-20-yne-3-one the physical 
chemical properties of this substance are directed and bio-reversibly changed in the direction of a 
Pro-drug- structure. 

Upon comparing the skin penetration of the esters of 

1 3 -ethyl- 1 7?-hydroxy- 1 1 -methylene- 18,1 9-dinor-l 7?-pregn-4-ene-20-yne-3-one with that of 
their esters, thus the latter distinguishing itself in general by the clearly higher transdermal flow. 
Above all, this is valuable in the performance of the ester in Matrix-Transdermal systems, like, 
by way of example, Acrylate Type (as they are described later in Example 2). 

The astonishingly high transdermal flow is clearly preferable to the surprisingly convenient 
solubility, which, for the named esters of 

13-ethyl-17?-hydroxy-ll-methylene-18,19-dinor-17?-pregn-4-ene-20-yne-3-one, is present in 
the ordinary skin contact adhesive and their mixtures with co-solvents or penetration enhancers. 
On the basis of this property now highly charged and stable matrix transdermal systems can be 
produced with molecular dispersion distributing Pro-drugs. Self-active material charges, which 
on a molecular basis are around the factor 15 higher than that comparable, even realizable, for 
1 3-ethyl- 1 7?-hydroxy- 1 1 -methylene- 18,1 9-dinor- 1 7?-pregn-4-ene-20-yne-3 -one, lead to stable 
systems. This is a distinct advantage over 

1 3-ethyl- 1 7?-hydroxy- 1 1 -methylene- 18,1 9-dinor- 1 7?-pregn-4-ene-20-yne-3-one containing 
systems which are previously known from WO94/04157, since the concentration level between 
transdermal systems and the skin conclusively is responsible for the attainable height of the 
transdermal flow. 



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Thus, it is possible with help of agents according to the invention to obtain high uniform flows of 
esters of l3-ethyl-17?-hydroxy-l 1 -methylene- 1 8, 19-dinor-17?-pregn-4-ene-20-yne-3 -one with 
comparatively small transdermal systems. 

It is already mentioned that the agent according to the invention, besides gestagens, can still 
contain 1 or more estrogens.. By way of example, suitable estrogens are estradiol, estriol, 
ethinylestradiol, mestranol, 14a,17a-ethanoestra-l,3,5(10)-tiene-3,17p-diol (WO 88/01275), 14 
a,17a-ethanoestra-l,3,5(10)-tiene-3,16al7p-triol (WO 91/08219) and their esters (EP-A 
163596), like estradioldipropionate, estradioldihexanoate and estradioldidecanoate. These 
preparation combinations contain beside 1 or 2 gestodenestem preferably 1 to 3 , especially 1 to 
2 estrogens. 

The active material or active material mixture can be dissolved or suspended in suitable volatile 
solvents and/or penetration-enhancing agents for producing pharmaceutical preparations,. The 
solvents or suspensions obtained can be mixed with the customary additives, like matrix builders 
and bactericides and, if necessary, after sterilization are emptied into dosing containers. On the 
other hand, it is also possible to process these solutions or suspensions further to lotions and 
salves by introducing emulsifiers and water. One can also - optionally with the addition of fuel 
gas - produce Sprays that can be filled in customary dosing containers. 

Suitable volatile solutions, by way of example, are low molecular weight alcohols, ketones or 
low molecular weight carboxylic acid esters like ethanol, isopropanol, acetone or ethylacetate, 
polar ether, like tetrahydrofuran, low molecular weight hydrocarbons, like n-hexane, 
cyclohexane or benzene or halogen hydrocarbon as well, like dichloromethane, 
trichloromethane, trichlorotrifluoroethane and trichrolofluoromethane. It is not necessary to 
explain that mixtures of these solvents are also suitable. 

Suitable penetration-enhancing agents are, by way of example, 1 or more valent alcohol(s), like 
ethanol, 1,2-propandiol or benzyl alcohol , saturated and unsaturated fatty alcohols with 8 to 18 
carbon atoms, like lauryl alcohol or cetyl alcohol, hydrocarbons, like mineral oils, saturated and 
unsaturated fatty acids with 8 to 18 carbon atoms, like stearic acid or oleic acid, fatty acid esters 
with up to 24 carbon atoms or dicarbolic acid diesters with up to 24 carbon atoms 



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Fatty acid esters, which are suitable penetration-enhancing agents, by way of example, are such 
as acetic acid, caproic acid, lauric acid, myristic acid, stearic acid, palmitic acid or oleic acid , 
like for example the methyl esters, ethyl esters, propyl esters, isopropyl esters, butyl esters, 
secondary-butyl esters, isobutyl esters, tertiary-butyl esters or monoglyceroesters of these acids. 
Especially preferred esters are those of mystiric acid or oleic acid, like their methyl esters, 
isopropyl esters or monogylceroesters. Suitable dicarboxylic acid esters are, by way of example, 
diisopropyladipate, diisobutyladipate and diisopropylsebacate. 

Additional penetration-enhancing agents are phosphate derivatives, like lecitin, terpenes, amides, 
ketones, ureas and their derivatives or ethers like, for example, diethylene glycol monoethyl 
ether or dimethyl isosorbit. There is no need to explain further that mixtures of these 
penetration-enhancing agents are also suitable for producing agents according to the invention. 

The concentration for the esters of 

13-ethyl-17?-hydroxy-l 1 -methylene- 1 8, 19-dinor-17?-pregn-4-ene-20-yne-3-one in which the 
active materials or active material mixtures are optimally suspended or dissolved in the solvent 
agent, is usually 0.01 to 50 % by wt. Li the estrogens the concentration is normally dependent 
upon the type active material used and the individual doses sought, in each case it must be done 
by means of preliminary experiments by the specialist, like, for example, the determination of 
the attainable active material concentration in the plasma, after selected dermal applications of 
the system, according to the invention, are found. Here, in general, the active material 
concentrations from 0,01 to 25 % by wt. of estrogen in the agent, according to the invention, are 
also satisfactory. The weight relationship of the esters of 

13-ethyl-17?-hydroxy-ll-methylene-18,19-dinor-17?-pregn-4-ene-20-yne-3-one to the 1 or more 
estrogen(s) in the preparation combination is 5:1 to 1 : 10. 

The daily dose therapeutic requirement of transdermal is indication-dependent and is in the range 
of about 30-120?g of 

13-ethyl-17?-hydroxy-l l-methylene-18,19-dinor-17?-pregn-4-ene-20-yne-3-one per day. The 
esters of 13-ethyl-17?-hexanoyloxy-l 1 -methylene- 1 8, 19-dinor-17?-pregn-4-ene-20-yne-3-one 
are equi-molar doses, in order to allow for the increase in molecular weight by the 
Pro-drug-Structure. For example, the daily dose for the 

13-ethyl-17?-hydroxy-l l-methylene-18,19-dinor-17?-pregn-4-ene-20-yne-3-one is about 
40-150?g. Reference to a 



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transdermal system with a 20cm2 surface means that transdermal flows of up to 0.3?g of the 
1 3 -ethyl- 1 7?-hexanolyoxy- 1 1 -methylene- 1 8, 1 9-dinor- 1 7?-pregn-4-ene-20-yne-3-one/cm2/h are 
necessary. In in-vitro studies with known formulations it has been demonstrated that these were 
clearly dropping excessively. 

A very similar application with adjusted dosages of active materials or active material mixtures 
can be obtained if the active material or the mixture is embedded in a transdermal therapeutic 
system (TTS). Suitable transdermal therapeutic systems are those which one normally uses for 
percutaneous applications of active materials (Yie W. Chien: "Transdermal Controlled Systemic 
Medications", Marcel Dekker, Inc., New York and Basel 1987, Dr. Richard Baker: "Analysis of 
Transdermal Drug Delivery Patents 1934 to 1984" and "Analysis of Recent Transdermal 
Delivery Patents, 1984-1986 and Enhancers Membrane Technology & Research 1030 Hamilton 
Court, Menlo Park, CA 94025 (415) 328-2228). 

So, by way of example, one such transdermal therapeutic system can be used which consists of 

a) an impermeable covering layer, 

1 to 3 pasted to the covering layer, of 1 or more ester(s) of 13 -ethyl 

- 1 7?-hydroxy- 1 1 -methylene- 18,1 9-dinor- 1 7?-pregn-4-ene-20-yne-3-one 

containing optionally 1 or more estrogen(s) and desirable penetration-enhancing agents, contact 
skin adhesive containing permeable self-adhesive or of a desirable penetration-enhancing agent 
coating for these components or surrounding Matrix layer(s), a removable protective layer, or 

b) a covering provided with a contact adhesive containing desirable penetration-enhancing 
agents, 

1 to 3 (at times) leaving uncovered contact adhesive edges, fastened to the contact adhesive by 
means of a cover, of 1 or more ester(s) of 

1 3-ethyl- 1 7?-hydroxy- 1 1 -methylene- 18,1 9-dinor- 1 7?-pregn-4-ene-20-yne-3 -one 

matrix layer(s) containing optionally 1 or more estrogens and penetration-enhancing agents and a 

removable protective layer, or 



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c) an impermeable cover layer, 

1 to 3 present on or in the protective layer, of 1 or more esters of 
1 3 -ethyl- 1 7?-hydroxy- 1 1 -methylene- 18,1 9-dinor- 1 7?-pregn-4-ene-20-yne-3 -one, 
medicine reservoir(s) containing optionally one or more estrogens and desirable 
penetration-enhancing agents, 

1 to 3 skin contact adhesive layer containing permeable polymer layer(s) of a permeable 
optional penetration-enhancing agent for these components and a removable protective layer. 

A transdermal therapeutic system according to variant a) describes a simple matrix system. It 
can be, by way of example, in a circular, oval or rectangular shape and be prepared as follows. 

A solution or suspension of up to 40% by wt. of active material or active material mixture, 
0-40% by wt. of a penetration enhancing agent, 30-70% by wt. of a customary medical adhesive 
filled with a suitably volatile solution to 100% by wt. is stretched into a flat impermeable 
adhesive layer. After drying, a second and even later possibly a third optional active material, 
penetration enhancing agent and adhesive containing layer can be attached to this layer and 
dried. Then the matrix system is provided with a removal protective layer. 

One uses a customary medicine matrix constituent which after drying of the system does not or 
does not sufficiently adhere to the skin, so one can cover or enclose the system by raising the 
removable protection layer even more with a skin contact adhesive. 

Suitable solvents and penetration enhancing agents, by way of example, possess the already 
mentioned fluidity of this type. Suitable as customary medicinal adhesives are, by way of 
example, polyacrylates, silicons, polyurethanes, blockpolymers, styrol-butadiene-copolymers as 
well as natural or synthetic rubbers, such as for example polyisobutylenes. Cellulose ethers, 
polyvinyl compounds or silicates are under consideration as additional matrix structures. For 
increasing the adhesiveness of the receiving matrix the customary additives could be added such 
as, for example, glutinous producing rosins and oils. Above and beyond that crystallization 
inhibitors could be added such as, for example Kollidon® VA 64 for increasing the 



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physical stability of the systems as described, by way of example, in WO 93/08797. 

All foils are suitable as protection layers which are ordinarily used in therapeutic systems. Such 
foils, by way of example, are siliconized or fluoropolymer layers. 

By way of example, one can use 10 to 100 |im thick polyethylene or polyether foils, selectively 
pigmented or metallized as cover layers in this system. The medicine layer raised hereupon is 
preferably a thickness of 2 to 500 |im. The delivery of the active material is preferably over a 
surface of 5 to 100cm 2. 

In multi-layered matrix systems, by way of example, in which the matrix can be applied to the 
impermeable adhesive layers in which are introduced 1 or more esters of 13-eth 
yl-17?-hydroxy-l l-methylene-18,19-dinor-17?-pregn-4-ene-20-yne-3-one and optionally the 
penetration enhancers while the layer or layers under it contain the estrogens and optionally even 
penetration enhancers. Besides it is however also possible in such a transdermal system to 
arrange several active material-containing matrices side by side. 

A transdermal therapeutic matrix system according to variant b can, by way of example, also be 
circular, oval or rectangular and be prepared as follows. 

A covering is coated with a skin contact adhesive. Then 1 to 3 working areas with an 
impermeable covering is/are pasted to this pro TTS to provide 1 or more ester(s) of 
13-ethyl-17?-hydroxy-ll-methylene-18,19-dinor-17?-pregn-4-ene-20-yne-3-one, optionally 1 or 
more estrogens and penetration enhancing agents containing matrix layers so that the covering of 
a sufficient edge for attaching to the skin and in multiple areas sufficiently between spaces and it 
is provided with a removable protective layer. The materials used in these matrix systems can be 
the same as those mentioned in Variant a. 

A transdermal therapeutic reservoir system according to Variant c, by way of example, can 
likewise be circular, oval or rectangular and are described as follows: 



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An impermeable foil is shaped by heat and/or tension so that one to three 0.1 to 3 ml bulging 
shape is formed. This is filled with an active material containing solvent or suspension having 1 
- 50% by wt. of active material or active material mixture with a penetration-enhancing agent. 
The active material containing solution or suspension can also be thickened with up to 10% by 
wt. of matrix builders. 

A fused or pasted permeable polymer layer serves as the covering of the reservoir for the skin, 
upon which a permeable skin contact adhesive layer and a removable protection layer are stuck. 

The above-mentioned penetration-enhancing agents could be used in these systems. By way of 
example, a 20 to 200 ?m thick foil of cellulose esters, cellulose ethers, silicones or polyolefin 
compounds are used as permeable polymer layer. Through the variation in these polymer layers 
the diffusion velocity of the active materials or active material mixtures vary within a wider 
range. 

The same materials are suitable as adhesives and protection layers which are described in the 
transdermal therapeutic systems according to variant a. 

hi the preparation of transdermal therapeutic systems with 2 or 3 arranged side-by-side active 
material containing matrix layers or medicine reservoirs it is often suitable to introduce in one, 1 
or more esters of 

13-ethyl-17B-hydroxy-l l-methylene-18,19-dinor-17?-pregn-4-ene-20yne-3-one and in the other, 
1 or more estrogen(s). hi the cases of this type the active material-containing matrix systems or 
medicine reservoir containing not only different active materials but as well even additional, 
different penetration enhancing agents. 

In the case of the matrix systems according to variant a or b one must take care to have a 
sufficient difference in the care area in order to stop any diffusion of active material at times into 
the other area, hi the case of the reservoir systems according to variant c it is possible for 
individual reservoirs to be provided with different permeable polymer layers so the diffusion 
flow of the individual active materials at times meets the requirements. 



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Additional characteristics of the transdermal system according to the invention are explained on 
the basis of the annexed , but not in correct scale drawings. 

Fig. 1 shows a cross-section through a circular matrix system surface according to variant a 
without the removable protective layer. It is composed of the impermeable cover layer 1 and the 
medicine containing matrix layer 2. 

Fig. 2 shows a cross-section through a matrix system surface according to variant b without the 
removable protective layer. Fig. 3 shows the top view to these systems. The system consists of 
the covering 3 that is provided with a contact adhesive layer 4. Two medicine containing matrix 
layers 6 and 8 are affixed to these contact adhesive layers by means of the impermeable 
coverings 5 and 7. 

Fig. 4 shows a cross-section through a round, single-chamber reservoir system according to c 
without the removable protective layer. It is composed of the impermeable layer 9, the medicine 
reservoir 10, the permeable polymer layer 11 and the skin contact adhesive layer 17. 

In addition, transdermal therapeutic systems are also suitable for further galenical preparations 
for transdermal application of the esters of 

1 3 -ethyl- 1 7B-hydroxy- 1 1 -methylene- 18,1 9-dinor- 1 7?-pregn-4-ene-20yne-3 -one. 

An emulsion gel for transdermal applications consists of, by way of explanation, the active 
material or active material mixture, penetration enhancing agents, emulsifiers (in which 
ambiphile substituents of the penetration enhancing agents can serve as emulsifiers) and in such 
a case matrix formers. A typical receptor consists of 0.1 - 25% by wt. of active material or 
active material mixture, 0 - 10% by wt. of emulsifier, 0 - 5% by wt. of matrix former, 0 to 50% 
by wt. penetration enhancing agents and water to 100% by wt. The agent is emulsified in the 
usually manner and if necessary treated with the usual antioxidants, preservatives, etc. 



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Single-phase gels are obtained, by way of example, by dissolving or suspending the active 
material or active material mixture in solvents such as water, and secondary alcohols or mixtures 
of them, if necessary, addition of penetration-enhancing agents and thickening with matrix 
formers. 

Typical receptors for such gels containing 0.01 - 25% by wt. of active material or active material 
mixture, 0 to 40% by wt. of penetration enhancing agent supplied with up to 100% solvent. 

Also, the gels can contain, as desired, antioxidants, preservatives, etc. 

A typical spray receptor, by way of example, is: 

1 - 25% by wt. of active material or active material mixture, 0 - 20% by wt. of matrix former, 0 - 
60% of penetration enhancing agent supplied with solvents and if necessary purgatives up to 
100%. Pressure gas packs are used so the purgatives can escape. 

The esters, according to the invention, of 13 -ethyl- 1713-hydroxy-l 1 -methylene- 18, 
19-dinor-17?-pregn-4-ene-20-yne-3-one containing agents for transdermal application can be 
used for treating similar illnesses, such as the previously known, by way of example, orally 
administering agent containing highly active gestagens. Beyond that, if necessary, the estrogen 
containing preparation can be found as well being used for contraceptives. The agents, 
according to the invention, are especially advantageous in the treatment of illnesses that require a 
long-term treatment with relatively high doses of the active material. Here, the application 
frequency can be substantially reduced and a corresponding blood plasma tolerance gel be 
substantially increased. A further advantage is that the gastrointestinal secondary effects are not 
to be expected and the first liver passage is by-passed in estrogen containing preparation 
combinations and that the doses can be reduced by estrogen. 



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These advantages allow the estrogen-free monotherapeutics of the previous invention to appear 
as especially suitable to, by way of example, treat endometriosis, gestagen dependent tumors, 
benign breast illnesses or premenstrual syndrome. 

The transdermal use of estrogen in sequential or continuous combination with esters of 
13-ethyl-17B-hydroxy-ll-methylene-18,19-dinor-17?-pregn-4-ene-20yne-3-one are especially 
advantageous, by way of example, for treating climatic maladies, for preparation of 
osteoporoses, cycle regulation and cycle stabilization. 

The following explanatory examples serve to more clearly explain the invention. The following 
commercial products are used in them: 

0.074 mm thick polyester foil (Skotchpak® manufactured by 3M; polypropylene foil (Celgard® 
2500) manufactured by Celanese, Liner foil Skotchpak® 1022 and 1360 manufactured by 3M; 
Transfer Adhesive 9871 manufactured by 3M, Sichello® type J 6610-21 polyacrylic ester - 
adhesive manufactured by Henkel KG, Oppanol® type B15SF poly-isobutylene - adhesive 
manufactured by BASF, Monsanto Gelva® polyacrylate ester - adhesive, X-7-4502 type silicon 
adhesive material manufactured by Dow Coming and HXF Klucel® type hydroxypropyl 
cellulose manufactured by Hercules and KoUidon® 12PF as well as KoUidon® VA64 
crystallization inhibitors manufactured by BASF. 



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A: Agent for transdermal application 

Example 1 

While stirring, one after the other 0.8 g of 

13-ethyl-17fi-hydroxy-ll-methylene-18,19-dinor-17?-pregn-4-ene-20yne-3-one and 8.0 g of 
dimethyl isosorbit are introduced into 62.4 g of a 50% solution of silicon adhesive material in 
benzene. After degassing the preparation, the mixture is laid out on a polyester film by means of 
a coating device in such a way that after the removal of the volatile solvents a similar film of 40 
g/m^ of solid coating forms. Connection is covered with a fluoropolymeric layer polyester liner. 

The thus contained laminate is divided into 10 cm^ area individual circular plasters by means of 
a stamping device and packed in aluminum foil. Fig. 1 shows a cross-section through this plaster 
without the polyester-liner. The plaster adheres to the skin after removal of the liner foil. 

The content determination is a similar active material proportion in the agent of 0.08 mg/m^. 
Example 2 

While stirring, 1 3 -ethyl- 1 7fi-hydroxy- 1 1 -methylene- 18,1 9-dinor- 1 7?-pregn-4-ene-20yne-3 -one 
are introduced into 80 g of a 50% solution of polyacrylic acid ester in ethyl acetate (g:g) and 
prepared as described in Example 1 . 

The content determination is a similar active material proportion in the agent of 8 mg/m^. 
Example 3 

While stirring, 5.0 g of 13-ethyl-17B-hydroxy-l 1 -methylene- 18, 19 

-dinor-17?-pregn-4-ene-20yne-3-one and 10.0 g isopropylmyristate are dissolved in 170 g of a 
50% solution of polyisobutylene adhesive substance in acetone/benzene. After degassing the 
preparation, the solvent is drawn onto the polyester film by means of a coating device in such a 
way that after 



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the removal of the volatile solvent, a similar film of 100 g/m^of solid coating formed. 
Connection is covered with a fluoropolymeric layer polyester liner. The thus contained laminate 

is divided into 10 cm^ area individual plasters by means of a stamping device and packed in 
aluminum foil. After the removal of the liner foil the plaster adheres to the skin. 

The content of 13 -ethyl- 17fi-hydroxy-l 1 -methylene- 1 8, 19-dinor-17?-pregn-4-ene-20yne-3-one 
in the agent is 0.5 mg/cm^. 

Example 4 

While stirring, one after the other, 3. 5 g of estradiol, 3.5 g of 

1 3 -ethyl- 17B-hexanoyloxy- 11 -methylene- 18, 19-dinor-17?-pregn-4-ene-20yne-3-one and 7.0 g 
isopropylmyristate are dissolved or suspended in 1 12 g of a 50% solution of polyacrylester 
adhesive substance in acetone/benzene. After degassing the preparation, the mixture is drawn out 
onto the polyester film by means of a coating device in such a way that after the removal of the 
volatile solvent, a similar film of 70 g/m^of solid coating formed. Connection is covered with a 

siliconizing active material-fi'ee liner film. The thus contained laminate is divided into 5 cm^ 
area individual plasters by means of a stamping device and packed in aluminum foil. After the 
removal of the liner foil the plaster adheres to the skin. 

The content of 13-ethyl-17fi-hydroxy-l l-methylene-18,19-dinor-17?-pregn-4-ene-20yne-3-one 
in the agent is 0.5 mg/cm^. 

Example 5 

Analogous to Example 1 are two different segment-like Matrix systems prepared that have the 
profiles illustrated in Fig. 2 and Fig. 3. The matrix I consists of the matrix 8 provided with a 
polyester foil 7 of the following composition 1 .0 mg of 17B-acetoxy- 

13-ethyl-l l-methylene-18,19-dinor-17?-pregn-4-ene-20yne-3-one, 5.0 mg isopropylmyristate, 
34 mg of acrylate contact adhesive material and 10 mg of Kollidon® VA64 and had a surface 
area of 5 cm^. 



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The matrix II consists of the matrix 6 provided with a polyester foil 5 of the following 
composition 2.0 mg of estradiol, 10.0 mg isopropylmyristate, 68 mg of acrylate contact adhesive 
material and 20 mg of Kollidon® VA64 and has a surface area of 10 cm^. 

Example 6 

A 7.4 cm diameter polyester foil is shaped by means of tension and heat such that a circular 
bulge with a surface area of 10 cm^ is formed. This is filled with 1 ml of a solution of 2.5 mg 
17B-butyryloxy- 13-ethyl-ll-methylene-18,19-dinor-17?-pregn-4-ene-20yne-3-one in 
dimethylisosorbit. A polypropylene or cellulose acetate butyrate foil is fused to the edge. 
According to the pressure per unit of time the sealing temperature is between 70°C and 100°C. 
The contact adhesive foil is transferred onto the permeable polymer layer. The plaster is 
provided with a liner and packed in aluminum foil. 

Fig. 4 shows a cross-section through a plaster of this type without a liner. 
Example 7 

Analogous to Example 6 a polyester foil is shaped so that two half-circle shapes by means of a 
gate from one to the other, forms separate bulges with surface areas of 7.5 cm^ each. 

Reservoir I is filled with 0.75 ml of a suspension with 1 .5 mg of 

1 7B-acetoxy- 1 3 -ethyl- 1 1 -methylene- 18,1 9-dinor- 1 7?-pregn-4-ene-20yne-3-one in 

1 ,2-propandiol and Reservoir II with 0.75 ml of one such with 3.5 mg of estradiol in 1, 

2-propandiol. The additional finishing of the plasters follows as described in Example 5. 

Figure 5 shows a cross-section through a plaster of the type without liner. 



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Example 8 

0.2 g of estradiol, 0.02 g 17B-butyryloxy- 13-ethyl-ll-methylene-18,19-dinor 
-17?-pregn-4-ene-20yne-3-one, 10.0 g of 1 ,2-propandiol and 10.0 g isopropylmyristate, one after 
the other is dissolved in 76.78 g of ethanol (96% by vol.) or isopropanol. Then 3 g of 
hydroxypropyl cellulose solvent is added and the air degassed from it. After 2 hours the gel is 
emptied into aluminum tubes with triple inner protection lacquering. 

The analysis reveals a homogeneous active material portion in the gel with values of 95% to 
105% of the theoretical values. 



Examples 9 

20.00 g of 13-ethyl-176-hexanoyloxy-l 1 -methylene- 1 8, 19-dinor-17?-pregn-4-ene-20yne-3 -one 
are dissolved in 1000 g of isopropylmyristate, sterilized by filtration and emptied under aseptic 
conditions into a 5 ml medicine bottle. 



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B: Syntheses 



Example 1 

5 g of 13-ethyl-17B-hydroxy-l l-methylene-18,19-dinor-17?"pregn-4-ene-20yne-3-one are 
suspended in 34.5 ml (150 mmol) hexanoic acid anhydride, mixed with 1.04 g 
N,N-dimethylaminopyridine and stirred for an hour at 0°C and another 8 hours at 20°C. Then 
the mixture is chilled again at O^C, mixed with 2.0 g calcium carbonate and 12.5 ml of methanol, 
stirred for 3 hours and mixed with 10 ml of water. The mixture is extracted with ethyl acetate, 
then acetate-extract washed, then dried over sodium sulfate and degassed under vacuum. The 
residue is examined chromatographically over a silica gel prism with 100:0 to 80:20 
hexane-ethyl acetate and 5.85 g of 13-ethyl-176-hexanoylo 

xy-1 l-methylene-18,19-dinor-17?-pregn-4-ene-20yne-3-one obtained with a melting point of 
123-124°C . 



Example 2 

Under the conditions of Example 1, but using acetic anhydride, 

17B-acetyl-13-ethyl-l l-methylene-18,19-dinor-17?-pregn-4-ene-20yne-3-one with a melting 
point of 170-171 ""C is produced. 



Example 3 

Under the conditions of Example 1, but using butyric acid anhydride, 

17B-butyryloxy- 13 -ethyl- 1 1 -methylene- 1 8, 19-dinor-17?-pregn-4-ene-20yne-3-one with a 

melting point of 1 18-1 19°C is produced. 



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Patent Claims 

1 . Agent for transdermal application, characterized in that it contains one to three esters of 
13-ethyl-17B-hydroxy-l 1 -methylene- 1 8, 19-dinor-17?-pregn-4-ene-20yne-3 -one with 1 to 
20 carbon atoms in the ester group optionally in combination with 

1 3-ethyl- 1 7B-hydroxy- 1 1 -methylene- 18,1 9-dinor- 1 7?-pregn-4-ene-20yne-3 -one and/or 
with 1 to 3 estrogens. 

2. Agent for transdermal application according to Patent Claim 1, characterized in that it 
contains an ester of 1 3 -ethyl- 1 7B-hydroxy- 1 1 -methylene- 18, 

1 9-dinor- 17?-pregn-4-ene-20yne-3-one with 2 to 12 carbon atoms in the ester group. 

3. Agent for transdermal application according to Patent Claims 1 and 2, characterized in 
that it contains 1 ester of 

1 3 -ethyl- 1 7B-hydroxy- 1 1 -methylene- 18,1 9-dinor- 17?-pregn-4-ene-20yne-3 -one with 2 to 
8 carbon atoms in the alkanoyl group. 

4. Agent for transdermal application according to Patent Claims 1 to 3, characterized in that 
estradiol, estriol, 17?-ethinylestradiol, mestranol, 14?,17?-ethanoestra-l,3,5(10)-triene-3, 
17?-diol, 14?,17?-ethanoestra-l,3,5(10)-triene-3,16?, 17B-triol, mestranol or 
combinations of these esters are used as estrogen(s). 

5. Agent for transdermal application according to Patent Claims 1 to 4, characterized in that 
the agent is a transdermal therapeutic system (TTS), 

6. Agent for transdermal application according to Patent Claim 5, characterized in that the 
transdermal therapeutic system is composed of: 

a) an impermeable covering layer, 

1 to 3 pasted onto the covering layer, of 1 or more ester(s) of 13 -ethyl 
- 1 7?-hydroxy- 1 1 -methylene- 1 8, 1 9-dinor- 1 7?-pregn-4-ene-20-yne-3-one containing 
optionally 1 or more estrogen(s) and desirable penetration-enhancing agents, contact skin 
adhesive containing permeable self-adhesive or of a desirable penetration-enhancing age 
nt coating for these 



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components or surrounding Matrix layer(s), a removable protective layer, or 

b) a covering provided with a contact adhesive containing desirable 
penetration-enhancing agents, 

1 to 3 (at times) leaving uncovered contact adhesive edges, fastened to the contact 
adhesive by means of a cover, of 1 or more ester(s) of 

1 3 -ethyl- 1 7?-hydroxy- 1 1 -methylene- 18,1 9-dinor- 1 7?-pregn-4-ene-20-yne-3 -one matrix 
layer(s) containing optionally 1 or more estrogens and penetration-enhancing agents and 
a removable protective layer, or 



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' If 

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c) an impermeable cover layer, 

1 to 3 present on or in the protective layer, of 1 or more esters of 
1 3 -ethyl- 1 7?-hydroxy- 1 1 -methylene- 18,1 9-dinor- 1 7?-pregn-4-ene-20-3Tie-3 -one, 
medicine reservoir(s) containing optionally one or more estrogens and desirable 
penetration-enhancing agents, 

1 to 3 skin contact adhesive layer containing permeable polymer layer(s) of a permeable 
optional penetration-enhancing agent for these components and a removable protective 
layer. 

7. Agent for transdermal application according to Patent Claim 6, characterized in that it 
contains an active material ladened matrix layer or a medicine reservoir. 

8. Agent for transdermal application according to Patent Claim 6, characterized in that it 
contains 2 or 3 active material ladened matrix layers or a medicine reservoir. 

9. Agent for transdermal application according to Patent Claim 8, characterized in that it 
contains active material ladened matrix layers or the medicine reservoir of different 
active materials. 

1 0. Use of esters of 1 3 -ethyl- 1 7fi-hydroxy- 1 1 -methyle 
ne-18,19-dinor-17?-pregn-4-ene-20-yne-3-one with 1 to 20 carbon atoms in the ester 
group optionally in combination with one or more estrogen(s) for producing the 
transdermal agent with active material or mixture of active materials. 

1 1 . Use of esters of 
13-ethyl-17B-hydroxy-ll-methylene-18,19-dinor-17?-pregn-4-ene-20-yne-3-one with 1 
to 20 carbon atoms in the ester group in combination with one or more estrogen(s) for 
producing an agent according to Patent Claim 10, characterized in that estradiol, estriol, 
17?-ethinylestradiol, mestranol, 14?,17?-ethanoestra-l,3,5(10)-triene-3?, 17?-diol, 
14?,17?-ethanoestra-l,3,5(10)-triene-3?,16?,17?-triol, or combinations of these esters are 
used as estrogen(s). 



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12. Use of esters of 

13 -ethyl- 17B-hydroxy-l l-methylene-18,19-dinor-17?-pregn-4-ene-20-yne-3-one with 1 
to 20 carbon atoms in the ester group in combination with one or more estrogen(s) for 
producing an agent according to Patent Claim 1 1 and 12, characterized in that the agent is 
a transdermal therapeutic system (TTS). 

13. Use of esters of 

13 -ethyl- 17B-hydroxy-l l-methylene-185l9-dinor-17?-pregn-4-ene-20-yne-3-one with 1 
to 20 carbon atoms in the ester group in combination with one or more estrogen(s) for 
producing an agent according to Patent Claim 12, characterized in that it is a transdermal 
therapeutic system according to Patent Claims 6 to 9. 

14. Use of estrogen-free agents for transdermal applications according to Patent Claims 1 to 
9 for transdermal contraception, treating of endometriosis, treating of gestagenic 
abhangiger tumors and treating premenstrual syndromes. 

15. Use of transdermal application agents according to Patent Claims 1 to 9 optionally in 
combination estrogen -containing agents for treatment of climactic conditions, for 
prevention of osteoporosis, cyclic regulation, for cyclic stabilization and transdermal 
contraception. 

16. Ester of 13-ethyl-176-hydroxy-l l-methylene-18,19-dinor-17?-pregn-4-ene-20yne-3-one 
with 2 to 8 carbon atoms in the alkanoyl group. 

17. 1 7?- Acetoxy- 1 3-ethyl- 1 1 -methylene- 18,1 9-dinor- 1 7?-pregn-4-ene-20yne-3 -one 

1 8. 17?-Butyryoxy-13-ethyM l-methylene-18,19-dinor-17?-pregn-4-ene-20yne-3-one 

19. 1 3-Ethyl- 1 7?-hexanoyloxy- 1 1 -methylene- 18,1 9-dinor- 1 7?-pregn-4-ene-20yne-3 -one 



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